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Dilation of Tract for Nephrolithotomy
Date: Aug 13, 2014
Question:
We need your help, as we are seeing conflicting guidance on the use of code 74485 on the day a lithotomy is performed. If the patient has existing access and the tract is dilated by the IR doc, but the nephrolithotomy is performed by a different physician, can code 74485 be reported? Or is that still bundled with the nephrolithotomy? Or is it more appropriate to report code 50398, 75984, or 50387 for the IR doc (depending on the position of the sheath) or if the tract isn't dilated?
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